PO RE FARMERS MARKET NUTRITION PRGM RE ADHS.PDF

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ARIZONA STATE CONTRACT
CONTRACT RELEASE
ProcirireAZ Purchase Order No.: ADHS14-053007:6
Organizational Reference No.: E0220280,EA220280
Issued: 02/20/2015
Vendor Number: 000010983 Arizona Department of Health Services
Maricopa County Public Health Bureau of Nutrition and Physical Activity
4041 N. Central Avenue, #1400 150 N. 18th Avenue, Suite 310
Phoenix, AZ 85012 Phoenix, AZ 85007
OS
Email: procure©azdhs.gov
Contract No.: ADHS14-053007 (800) 252-5942
Title: FMNP FY 15 Maricopa County MAIL INVOICE IN DUPLICATE TO:
Arizona Department of Health Services
Accounts Payable Services
1740 West Adams #301
Phoenix, AZ 85007
US
Email: iNVOICES@azdhs.gov
(602) 542-0781
Release Instructions
TERMS AND CONDITIONS set forth in Our Bid, Quotation, or Purchase Order
are incorporated herein by reference and become a part of this order.
Account Code: 14-97481-44010-6811- Payment Terms: Net 30
Shipping Terms:
Solicitation (Bid) No.: Delivery Calendar Day(s) A.R.O.: 0
Item Description Requisition Quantity Unit Unit Price Total
Class-Item 962-26
1 3500.00 YR $ 1.25 $ 4,375,00
Maricopa County Public Health will provide nutrition education and issue
FMNP checks to WIC clients,
TOTAL: $ 4,375.00
Approved By: America Coles
Phone No.: (602) 542-2878

C-86-14-023-3-06 ATTACHED TO AND A PART OF
(Farmer's Market Nutrition Program)
FMNP FY15 Maricopa County
ADHS14-053007:6
IN WITNESS WHEREOF, the parties agree to enter into this Contract:
FOR AND ON BEHALF OF
MARICOPA COUNTY
By
Chairman, Board of Supervisors
Date
ATTEST:
Clerk of the Board
Date
APPROVED AS TO FORM:
Attorney for Maricopa County
Date